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COURSE AFFIX
B.Ed. D.El.Ed. PHOTO
Please Tick (ü )

Bhavan's Tripura College of Teacher Education

Recognized by NCTE , Permanently Afliated to Tripura University (A Central University) &
Recognized by UGC under section 2 (F) & 12(B) of UGC Act, 1956
P.O. Bimangarh, Narsingarh, Agartala, West Tripura,PIN- 799015
Ph-0381 2341501 # Website: www.btcte.in, E-mail: bhavanbedc_trip@rediffmail.com

Application Form

1 Name of the Candidate :

(in BLOCK LETTER)

2 a) Father's Name :

b) Mother's Name :

c) Husband's Name :

3 Address
a) Permanent :

b) Present :

4 Mobile No. :

5 Date of Birth :
(as per Madhyamik Admit Card)

6. a) Aadhaar No. :

: b) E-mail Id :

7 Nationality :

8 Sex (Male / Female) :

9 Marital Status (Married / Unmarried) :

10 whether belongs to SC / ST / OBC :

11 Tripura University Registration No. :

(If any)
12 Details Education / Technical Qualications : Please put tick ( ü) at the appropriate qualications.
Board / Year of Total Marks Percentage of
Examination Passing
University Marks Obtained Marks obtained

Madhyamik or equivalent

H. S. (+2) or equivalent

B.A/B.Sc./B.Com/B.E/B.Tech
2Yrs./ 3Yrs./Hons
(Mention Subject)

M.A/M.Sc./M.Com/M.E/M.Tech
(Mention Subject)

M. Phill
(Mention Subject)

Ph. D
(Mention Subject)

13 Please see detailed instruction in the prospectus before lling up the application.
Incomplete application forms will be rejected forthwith. Candidates selected or wait-listed
for admission will be intimated through News Paper, College Website (www.btcte.in) and
merit list will be display on the College Notice Board.

Declaration by the Applicant

The information’s given above are true to the best of my knowledge

Date :

Place : Signature of the Applicant in full

For ofce use

1 Method Paper Opted for ...................................................................................................................

2 Demand Draff No. / Banker Cheque No. ..........................................................................................

3 Name of Bank .......................................................................................................................................

Note Take a photocopy of lled-in form before submission for acknowledge and future use.